Name

Phone Number

Address

Attached copy of Photo ID

Emergency contact name & phone number

Select all you are willing to foster

• Adult cats
• Kittens
• Adult dogs
• Puppies
• Animals with health issues

Specific Animal

How many pets do you have at home?

Are all your pets vaccinated (rabies & bordatella)?

Are you willing to bring your foster pet back to the shelter for routine vaccinations/medical care?

Are you willing to bring your foster pet to events and promote your foster pet?

Do you understand that while you foster a pet, the pet is still the property of CCAS?

Do you understand that all foster cats must be kept indoors?

Do you understand that foster dogs must be on a leash if they are not in the house or in a fenced in area?

Foster Parent Signature:

Date

CCAS Witness:

Date

Submit